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BACKWATER VALVE EG SPECTi OMF <br />CHECKLIST Plied I-Auge,✓ <br />. Property Address: - 3 ti- i u <br />BWV inspected by: Date BWV was Inspected:: <br />7tr <br />1 Pj6p✓ Qr(^I, - LAU clack wive. <br />Inspection Checklist JVAIL r - rdW✓ �-O pro Post L2") <br />Are all downspouts and site drainage disconnected from upstream of the BWV? t Yes ❑ No <br />Comments: <br />Does Bb;'V positioning meets minimum slope requirement of >1%? []Yes ❑ No <br />Comments - <br />Can BWV be accessed for inspection and maintenance? ❑ Yes ❑ No NA <br />Can BWV be secured into the proper position? ❑ Yes ❑ No NA <br />Where is the valve installed (general description, attach map)? NA <br />Is the installed BWV considered an 'approved' model by the City of Everett? ❑ Yes 2 No <br />Was property owner shown how to inspect and maintain their BWV? ❑ Yes ❑ No <br />Does this BWV require repair or replacement? ❑ Yes ❑ No <br />Comments: <br />Inspector's Signature: <br />Date: <br />Revision: 2 Tuesday, September 23, 2014 <br />